| NPI | 1780033316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KASSINGER Owner 270-240-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2016-06-07 |